Organization Name: | TRIANGLE WELLNESS PLLC |
NPI Number: | 1558716589 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM STEWART (OWNER) |
Mailing Address: | 16623 Birkdale Commons Pkwy Suite 110 Huntersville |
State: | NC US |
Postal Code: | 280785621 |
Phone Number: | 7045047035 |
Fax Number: | 7049739523 |
NPI Enumeration Date: | 04/27/2016 |
NPI Last Update Date: | 04/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |